FORM 1023-EZ for THE URBAN BLOOM FOUNDATION

Field Data
EIN 83-1930373
Case Number EO-2018323-000490
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE URBAN BLOOM FOUNDATION
Organization’s Mailing Address 6347 NORTHFIELD RD
City WEST BLOOMFIELD
State MI
ZIP 48322-2435
Accounting period End 12
Primary contact name ANGEL SHEFFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGEL SHEFFIELD
PRESIDENT/DIRECTOR
6347 NORTHFIELD RD
WEST BLOOMFIELD MI 48322-2435

Officer/Director/Trustee Two

BRANDEIS BELL
VICE PRESIDENT/CO-DIRECTOR
29656 BRENTWOOD
SOUTHFIELD MI 48076-2273

Organization’s website WWW.URBANBLOOMDETROIT.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANGEL SHEFFIELD
Signature Title PRESIDENT/DIRECTOR
Signature Date 11/16/18

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